Colby Terry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6911 Issued in LA

Practice address

600 N Highway 190 Ste 4
Covington, LA 70433-5083

Phone

(985) 893-5522

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1073092128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIGHWAY 190 STE 4",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335083",
            "telephone_number": "985-893-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "COLBY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Clarin Teague, O.T.
• Amber Doyle Tejeda, BSN, RN, IBCLC
• Martha N. Tennison, MSW,LCSW
• William Lyle Terral, MD
• Caycee Chayne Terrell-Vining, M.ED., LPC, NCC, DCC
• Texas Digestive Disease Consultants PLLC
• Texas Neuro Physiological Associates, P.a.
• Texas Teleneuromonitoring Serivces, PA
• The Dermatology Clinic of St Tammany II, LLC (Grieshaber Dermatology)
• The Family Practice at Northshore Counseling and Wellness, LLC

• General Practice Dentistry in Covington, LA
• Providers in Covington, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.